NRNP 6665/ NRNP6665 FINAL EXAM | (2023/2024) Questions and Verified Answers
1. Katelyn is a 16-year-old girl who presents for therapy with her mother and father. Katelyn was born with male genitalia but has felt like a female "all of her life. " She says she knew something was different as far...
NRNP 6665/ NRNP6665 FINAL EXAM | (2023/2024) Questions and Verified Answers 1. Katelyn iisiai16-year-oldigirliwhoipresents iforitherapy iwithiherimother iand father . Katelyn wasiborniwithimale igenitalia ibutihasifeltilikeiaifemale i"alliofiherilife.i"iSheisays
isheiknew isomething iwasidifferent iasifaribackiasisheicaniremember .iSheialways iwanted i
toiwear iherimother's iclothes iandimakeup iandiplayiwithiother igirls.iKatelyn istarted idressi
ngiandiopenly iidentifying iasiaigirliwhen isheiwasi13iyears iold,iandiheriparents iareitrying
itoibeisupportive ibutitheyiareistruggling .iMost irecently iKatelyn ihasideveloped ianiintima
teipartner irelationship iwithiJennifer, iai15-yearoldigirliwhoiwasigender -
assigned ifemale iatibirth iandiidentifies iasiaifemale .iKatelyn's ifather idoesinotiunderstand it
heirelationship .iTheiPMHNP iexplains ithatiKatelyn : A. Isiresponding itoitheimale ihormonal isurges iofipuberty iandiwilliultimately iidentify
iwithiheriphysiologic igender i B. Does inotihave iaiclear isense iofigender iidentity iandimayibeiaicandidate iforireparat
iveitherapy itoicorrect iherigender iidentity iissuesi C. Is a transgender female who identifies as lesbian D. Isiaiheterosexual imale iwithitransvestic idisorder ii 2. Alliofitheifollowing iareiproposed ietiologies iofipicaiexcept : A. Nutritional ideficiencies i B. Parental ineglect i C. Compensation iforioralineeds i D. Autism spectrum disorder 3. While itheicoreifeatures iofischizophrenia iareiessentially itheisame iinichildren iasitheyiareii
niadults, itheipresentation ioricharacterization iisisometimes iveryidifferent igiven idevelopm
ental iissues .iUnlike iadults iwithischizophrenia, ichildren iwithischizophrenia idoinotihave : A. Classic ipositive isymptoms i B. Poverty of speech content C. Social irejection i D. Delusions iofipersecution i11i 4. TheiPMHNP iisiworking iwithiaicouple iwhoihasibeen itrying iforiyears itoiconceive iandiisi
nowiready itoipursue iadoption iasianioption .iThey iareiconsidering iallipossibilities; iprivate ivs.igovernment -
mediated iadoption, iadopting ifrom ianother icountry, iadopting iaichild iofiaidifferent iraceior
iethnicity, iadopting ianiolder ichild irather ithanianiinfant, iandiadopting iaichild iwhoiisicurr
ently iinifoster icareivs.ioneiwhoilives iinianiorphanage .iWhile icounseling ithisicouple, ithei
PMHNP iadvises ithem ithat: A. Younger children adopted from foster care settings have the best outcomes B. Children iadopted ifrom iabuse iandineglect isituations ihave ibetter ipsychological iada
ptation ithanithose iadopted iasinewborns i C. Transracial iadoptions ihave idemonstrated igreater idisruptions iasicompared itoisame
-raceiadoptions i D. Adoptions iintoifamilies iasianionlyichild iareimore isuccessful ithanithose iintoifamil
iesiwithibiological ichildren i 5. Meliisiai15-year-
oldimale iwithiaicomplex ipsychiatric iassessment .iHeihasiailongihistory iofimood iinstabilit
y,ibehavior iproblems, ianditrouble iwithischoolwork .iHeiwasianiextremely iactiveichild iw
ho,iationeitime, iwasiputionimedication iforihyperactivity .iAfter iaicomprehensive ievaluati
on,itheiPMHP irecognizes ithatiheimeets idiagnostic icriteria iforibothibipolar iIidisorder iand
iattention ideficit ihyperactivity idisorder i(ADHD) .iTheimost isucces sfuliapproach itoihisim
anagement iisilikely itoibegin iwith: A. Pharmacotherapy iforiADHD i B. Pharmacotherapy for bipolar I C. Parental itraining iandibehavioral iinterventions iforiADHD i D. Family -focused ipsychoeducational i(FFT -A)iforibipolar iIi 6. Bruce iandiDebbie ihave imade ianiappointment iforiaipsychiatric iconsultation iforiwhat iam
ounts itoipsychiatric igenetic icounseling .iBruce iisi31iyears ioldiandiDebbie iisi28iyears iold
.iThey ihave ibeen imarried ifori3iyears iandiwant itoihave ichildren .iDebbie iisiworried ibecau
seisheihasiaidiagnosis iofischizophre nia.iHerisymptoms ifirstibecame ievident iwhen isheiw
asiiniherijunior iyearioficollege; ifortunately, isheiknew iabout itheidisease idueitoifamily ihis
toryiandisought icareiquickly .iSheihasibeen iveryiopen iwithiBruce, ianditheyiareibothiwell
iinformed iabout itheidisease .iDebbie iisianionlyichild iandiherifather ihadischizophrenia itha
tiwasinotiwellicontrolled .iHeicommitted isuicide iwhen isheiwasi15iyears iold.iDebbie itake
siolanzapine iandifeels iwellioverall .iSheihasiaipart-
timeijob,ifunctions iwell, ibutiisiconcerned iabout itheigenetic inature iofiheridisease .iCouns
eling iforiBruce iandiDebbie iincludes iwhich iofitheifollowing ipieces iofiinformation ? A. Schizophrenia iisiupitoieight itimes imore iprevalent iinifirst-
degree irelatives iasicompared itoitheigeneral ipopulation .i B. Schizophrenia ihasibeen iisolated itoichromosome inumber i5iandiantenatal itesting iis
iavailable itoipredict igenetic ipredisposition iofitheifetus .i
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